Provider Demographics
NPI:1881442861
Name:TOWNE PHARMACY OF RINCON LLC
Entity type:Organization
Organization Name:TOWNE PHARMACY OF RINCON LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:HARRISON
Authorized Official - Last Name:MCMILLAN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:912-826-0250
Mailing Address - Street 1:6014 GA HIGHWAY 21 S STE P
Mailing Address - Street 2:
Mailing Address - City:RINCON
Mailing Address - State:GA
Mailing Address - Zip Code:31326-5573
Mailing Address - Country:US
Mailing Address - Phone:912-826-0250
Mailing Address - Fax:
Practice Address - Street 1:6014 GA HIGHWAY 21 S STE P
Practice Address - Street 2:
Practice Address - City:RINCON
Practice Address - State:GA
Practice Address - Zip Code:31326-5573
Practice Address - Country:US
Practice Address - Phone:912-826-0250
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TOWNE PHARMACY OF RINCON, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-05-07
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy